IndividualActive
Michelle Porter, OTR
NPI 1700989266 · Pediatric Occupational Therapist · Moundridge, KS
Provider details
- NPI number
- 1700989266
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 17-01284 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
121 S. Christian Ave.
Moundridge, KS 67107-0743
Phone: (620) 345-3000
Fax: (620) 345-3042
Approximate (ZIP-level) locationGet directions
Mailing address
121 S. Christian
Moundridge, KS 67107-0743
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.